Mostrar el registro sencillo del ítem

Pathways to a diagnosis of autism spectrum disorder

dc.creatorZavaleta-Ramírez, Patriciaes_ES
dc.creatorRosetti, Marcos Franciscoes_ES
dc.creatorAlbores-Gallo, Liliaes_ES
dc.creatorVargas-Soberanis, Manuel Alejandroes_ES
dc.creatorNafate-López, Omares_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.date2020
dc.date.accessioned2023-10-19T17:55:24Z
dc.date.available2023-10-19T17:55:24Z
dc.date.issued2020
dc.identifierOE05DSC20es_ES
dc.identifier.issn1075-2730
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7789
dc.identifier.urihttps://doi.org/10.1176/appi.ps.201900518
dc.descriptionObjective: This study aimed to analyze the pathways to obtaining a diagnosis of autism spectrum disorder (ASD) within the Mexican health system. Methods: Parents of children with ASD (N=186) were approached at specialized health centers and interviewed about the sequence of professionals they contacted that led to a diagnosis. The authors established the pathway to diagnosis, time of first parental concerns, time of first consultation, age of the child at diagnosis, and other measures. A Sankey plot was used to illustrate the complexity of the pathway to diagnosis. Diagnostic delays among children with autism were compared with delays among subsamples of children with Asperger's syndrome. Regression analysis was used to evaluate the effect of socioeconomic and clinical variables on diagnostic delays. Results: The median diagnostic delay was 27 months (interquartile range [IQR] 8-36), and three professional contacts (IQR 3-6) were needed to achieve a diagnosis. Patients switched between primary and tertiary care even in later stages of the pathway. Patients with Asperger's syndrome had longer delays than patients with autism, and girls and older patients took more time to receive a diagnosis. Parental concerns regarding language, developmental issues, and perceived developmental regression resulted in shorter diagnostic delays. Conclusions: Pathways to diagnosis of ASD are long and involve multiple contacts, with patients alternating between primary and specialized care. This pattern reflects failures in the diagnostic protocols and referral systems of clinical centers in Mexico, and such issues may be experienced in countries with similarly overwhelmed health care systems.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherAmerican Psychiatric Associationes_ES
dc.relation71(11):1120-1126
dc.rightsAcceso Cerradoes_ES
dc.titlePathways to a diagnosis of autism spectrum disorderes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México City
dc.contributor.emailzavaletarp@gmail.com
dc.relation.jnabreviadoPSYCHIATR SERV
dc.relation.journalPsychiatric Services
dc.identifier.placeEstados Unidos
dc.date.published2020
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1557-9700
dc.identifier.doi10.1176/appi.ps.201900518
dc.subject.kwAssessment
dc.subject.kwAutism
dc.subject.kwDiagnostic delays
dc.subject.kwPsychiatric health system


Ficheros en el ítem

FicherosTamañoFormatoVer

No hay ficheros asociados a este ítem.

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem